| NPI | 1215483102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801098410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098410) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2025-05-22 |